Queens Manor Home Care INC.
Assisted Living Facility in Vista, CA. Organization (NPI-2).
NPI number1679907992
StatusActive
Last updated in NPPESOct 2, 2014
Details
- NPI
- 1679907992
- Entity type
- Organization (NPI-2)
- Legal business name
- Queens Manor Home Care INC.
- Organization subpart
- No
- Enumeration date
- Aug 22, 2013
- Last updated
- Oct 2, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 374603285 | CA | Yes |
Practice location
1025 Bonnie Brae PlVista, CA 92084-5529
Phone 760-806-9455 · Fax 760-806-9455
Mailing address
1025 Bonnie Brae PlaceVista, CA 92084
Phone 760-216-8024 · Fax 760-806-9455
Authorized official
Jane Tacay Totanes
Administrator/Licensee
7607169301
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